Migration (Specification of Required Medical Assessment) Instrument 2025
I, Dr Grant Pegg, delegate of the Minister, make the following instrument.
Dated 26 November 2025
Dr Grant Pegg
Chief Medical Officer
Department of Home Affairs
Contents
1 Name
2 Commencement
3 Authority
4 Definitions
5 Schedules
6 Specified classes of person required to undertake medical assessment
7 Specified medical assessments
8 Specified persons to conduct medical assessments
Schedule 1—Medical assessments required for specified class of persons
Schedule 2—Medical assessments required for persons not covered by Schedule 1
Schedule 3—Additional medical assessments for paragraphs 4005(1)(aa) and 4007(1)(aa)
Schedule 4—List of provisional visas
Schedule 5—Low hepatitis B risk countries and jurisdictions
Schedule 6—Repeals
Migration Regulations 1994 –Specification of Required Medical Assessment – IMMI 15/144
1 Name
This instrument is the Migration (Specification of Required Medical Assessment) Instrument 2025.
2 Commencement
This instrument commences on 29 November 2025.
3 Authority
This instrument is made under paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Migration Regulations 1994.
4 Definitions
In this instrument:
high hepatitis B risk jurisdiction means a country or jurisdiction not mentioned in Schedule 5.
panel physician means a doctor or radiologist who:
(a) is outside Australia; and
(b) provides medical assessment services for visa applicants for purposes under the Migration Act 1958 and the Regulations; and
(c) provides those services on the basis that the doctor or radiologist either:
(i) has entered into and continues to be a party to an arrangement with the Department to provide the services as part of the Australian Panel Physician Network; or
Section 1 - Migration (Specification of Required Medical Assessment) Instrument 2025 - Migration (Specification of Required Medical Assessment) Instrument 2025 | Zoe
(ii) is employed or otherwise engaged to provide the services by a clinic, organisation or other entity (however described) that has entered into and continues to be a party to an arrangement with the Department to provide the services as part of the Australian Panel Physician Network.
provisional visa means a temporary visa of a subclass mentioned in Schedule 4.
Regulations means the Migration Regulations 1994.
5 Schedules
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.
6 Specified classes of person required to undertake medical assessment
For paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations, the following classes of person are specified:
(a) a person who:
(i) is a citizen of a country or jurisdiction; or
(ii) has spent 3 or more consecutive months during the last 5 years in one or more countries or jurisdictions;
where the country or jurisdiction is listed in column 1 of the table in Schedule 1 to this instrument;
(b) a person who:
(i) is a citizen of a country or jurisdiction; or
(ii) has spent 3 or more consecutive months during the last 5 years in one or more countries or jurisdictions;
where the country or jurisdiction is not listed in column 1 of the table in Schedule 1 to this instrument;
(c) a person who is covered by both paragraphs 6(a) and (b) of this instrument.
7 Specified medical assessments
For subparagraphs 4005(1)(aa)(i) and 4007(1)(aa)(i) of Schedule 4 to the Regulations, the following medical assessments are specified:
(a) for a person in a class of person specified in paragraph 6(a)—the medical assessments specified in columns 2, 3, 4 and 5 of the table in Schedule 1 to this instrument;
(b) for a person in a class of person specified in paragraph 6(b)—the medical assessments specified in:
(i) columns 2, 3 and 4 of the table in Schedule 2 to this instrument; and
(ii) Schedule 3 to this instrument;
(c) for a person specified in paragraph 6(c)—the medical assessments specified in:
(i) columns 2, 3 and 4 of the table in Schedule 2 to this instrument; and
(ii) Schedule 3 to this instrument.
8 Specified persons to conduct medical assessments
For subparagraphs 4005(1)(aa)(ii) and 4007(1)(aa)(ii) of Schedule 4 to the Regulations:
(a) for a medical assessment conducted in Australia—Bupa Australia Health Pty Ltd (trading as Bupa Medical Visa Services) is specified;
(b) for a medical assessment conducted outside Australia for visa purposes—panel physicians are specified.
Note: Paragraphs 4005(1)(aa) and 4007(1)(aa) of Schedule 4 to the Regulations both relevantly provide that if an applicant is in a class of persons specified by the Minister in a written instrument for the paragraph, they must be assessed by the person specified in the instrument unless a Medical Officer of the Commonwealth decides otherwise.
Schedule 1—Medical assessments required for specified class of persons
Column 1<br>Country or jurisdiction of citizenship; or countries or jurisdictions where the person has spent three or more consecutive months in the last five years
Column 2<br>Temporary stay in Australia of up to six months
Column 3<br>Temporary stay in Australia of six months or more
Column 4<br>Permanent and provisional visa applicants
Column 5<br>Additional medical assessments
Aland Islands;<br>Albania;<br>American Samoa;<br>Andorra;<br>Anguilla;<br>Antarctica;<br>Antigua and Barbuda;<br>Argentina;<br>Armenia;<br>Aruba;<br>Australia;<br>Austria;<br>Bahamas, The;<br>Bahrain;<br>Barbados;<br>Belarus;<br>Belgium;<br>Belize;<br>Bermuda;<br>Bonaire;<br>Bosnia and Herzegovina;<br>Bouvet Island;<br>British Indian Ocean Territory;<br>British Virgin Islands;<br>Bulgaria;<br>Canada;<br>Cayman Islands;<br>Chile;<br>Christmas Island;<br>Cocos(Keeling) Islands;<br>Comoros;<br>Cook Islands;<br>Costa Rica;<br>Croatia;<br>Cuba;<br>Curacao;<br>Cyprus;<br>Czech Republic;<br>Denmark;<br>Dominica;<br>Egypt;<br>Estonia;<br>Falkland Islands;<br>Faroe Islands;<br>Finland;<br>France;<br>French Guiana;<br>French Polynesia;<br>Germany;<br>Gibraltar;<br>Greece;<br>Grenada;<br>Guadeloupe;<br>Guam;<br>Guatemala;<br>Guernsey;<br>Heard and McDonald Islands;<br>Holy See, The<br>Honduras;<br>Hungary;<br>Iceland;<br>Iran;<br>Iraq;<br>Ireland;<br>Isle of Man;<br>Israel;<br>Italy;<br>Jamaica;<br>Japan;<br>Jersey ;<br>Jordan;<br>Korea (Republic of);<br>Kuwait;<br>Latvia;<br>Lebanon;<br>Liechtenstein;<br>Lithuania;<br>Luxembourg;<br>Malta;<br>Martinique;<br>Mauritius;<br>Mayotte;<br>Mexico;<br>Monaco;<br>Montenegro;<br>Montserrat;<br>Netherlands;<br>New Caledonia;<br>New Zealand;<br>Norfolk Island;<br>Norway;<br>Occupied Palestinian Territories;<br>Oman;<br>Pitcairn Island;<br>Poland;<br>Portugal;<br>Puerto Rico;<br>Qatar;<br>Republic of North Macedonia <br>Reunion;<br>Russian Federation;<br>Saint Barthélemy;<br>Saint Helena (Ascension and Tristan da Cunha);<br>Saint Kitts and Nevis;<br>Saint Lucia;<br>Saint Martin (French Part);<br>Saint Pierre and Miquelon;<br>Saint Vincent and the Grenadines;<br>Samoa;<br>San Marino;<br>Saudi Arabia;<br>Serbia;<br>Seychelles;<br>Sint Eustatius & Saba;<br>Sint Maarten (Dutch part);<br>Slovak Republic;<br>Slovenia;<br>South Georgia and the South Sandwich Islands;<br>Spain;<br>Suriname;<br>Svalbard & Jan Mayen;<br>Sweden;<br>Switzerland;<br>Syria;<br>Togo;<br>Tokelau;<br>Tonga;<br>Trinidad and Tobago;<br>Tunisia;<br>Türkiye;<br>Turks and Caicos Islands;<br>United Arab Emirates;<br>United Kingdom (British citizen);<br>United States of America;<br>Vatican City;<br>Virgin Islands (British);<br>Virgin Islands (US);<br>Wallis and Futuna
Any applicable additional medical assessments specified in Column 5 of this Table
Any applicable additional medical assessments specified in Column 5 of this Table
Under 11 years of age: Medical examination and any additional medical assessments specified in Column 5 of this Table<br> <br>Aged 11 or older and under 15 years of age: Medical examination, chest X-ray and any additional medical assessments specified in Column 5 of this Table<br> <br>Aged 15 years of age or older: Medical examination, chest X-ray, serum creatinine/eGFR, HIV test, hepatitis B test if born in a high hepatitis B risk jurisdiction, and any additional medical assessments specified in Column 5 of this Table
Likely to work or be a trainee at an Australian childcare centre (including preschool and crèche): Medical examination, chest X-ray and serum creatinine/eGFR<br> <br>Intending to work as, or study or train to be a doctor, dentist, nurse or paramedic: Medical examination, chest X-ray, serum creatinine/eGFR, HIV test, hepatitis B and hepatitis C tests<br> <br>Pregnant and intending to give birth in Australia: Hepatitis B test<br> <br> <br>Aged 75 years or older and applying for a Subclass 600 (Visitor) visa regardless of length of stay: Medical examination and serum creatinine/eGFR
Schedule 2—Medical assessments required for persons not covered by Schedule 1
Column 1<br>Country or jurisdiction of citizenship; or countries or jurisdictions where the person has spent three or more consecutive months in the last five years
Column 2<br>Temporary stay in Australia of up to six months
Column 3<br>Temporary stay in Australia of six months or more
Column 4<br>Permanent and provisional visa applicants
All countries or jurisdictions that are not listed in column 1 of the table in Schedule 1
Any applicable additional medical assessments specified in Schedule 3
Under 11 years of age: Medical examination and any additional medical assessments specified in Schedule 3<br> <br>Aged 11 or older and under 15 years of age: Medical examination,<br>chest X-ray and any additional medical assessments specified in Schedule 3<br> <br>Aged 15 years or older: Medical examination, chest X-ray, serum creatinine/eGFR and any additional medical assessments specified in Schedule 3
Under 2 years of age: Medical examination and any additional medical assessments specified in Schedule 3<br> <br>Aged 2 or older and under 11 years of age: Medical examination, TB screening and any additional medical assessments specified in Schedule 3<br> <br>Aged 11 or older and under 15 years of age: Medical examination, chest X-ray and any additional medical assessments specified in Schedule 3<br> <br>Aged 15 years or older: Medical examination, chest X-ray, serum creatinine/eGFR, HIV test, hepatitis B test if born in a high hepatitis B risk jurisdiction, and any additional medical assessments specified in Schedule 3
Schedule 3—Additional medical assessments for paragraphs 4005(1)(aa) and 4007(1)(aa)
Item
Additional medical assessments for paragraphs 4005(1)(aa) and 4007(1)(aa)
1
For a person who intends to work as, or study or train to be, a doctor, dentist, nurse or paramedic:<br>(a) if the person is not an applicant mentioned in paragraph (b):<br> (i) medical examination; and<br> (ii) chest X-ray; and<br> (iii) serum creatinine/eGFR; and<br> (iv) HIV test; and<br> (v) hepatitis B test; and<br> (vi) hepatitis C test; and<br> (vii) latent tuberculosis screening; or<br>(b) if the person mentioned in paragraph (a), is an applicant, who has applied for a Subclass 600 (Visitor) visa for temporary stay in Australia of not more than 6 months:<br> (i) medical examination; and<br> (ii) chest X-ray; and<br> (iii) serum creatinine/eGFR; and<br> (iv) HIV test; and<br> (v) hepatitis B test; and<br> (vi) hepatitis C test.
2
For a person who intends to work as, or study or train to be, a health care worker, or to work within a health care or hospital environment, aged care or disability care facility, in a health care profession not mentioned in item 1:<br>(a) if the person is not an applicant mentioned in paragraph (b):<br> (i) medical examination; and<br> (ii) chest X-ray; and<br> (iii) serum creatinine/eGFR; and<br> (iv) latent tuberculosis screening;<br>(b) if the person mentioned in paragraph (a), is an applicant, and has applied for a Subclass 600 (Visitor) visa for temporary stay in Australia of not more than 6 months:<br> (i) medical examination; and<br> (ii) chest X-ray; and<br> (iii) serum creatinine/eGFR.
3
For a person who is likely to work or be a trainee at an Australian childcare centre (including preschool and crèche):<br> (a) medical examination; and<br> (b) chest X-ray; and<br> (c) serum creatinine/eGFR.
4
For a person who is likely to enter a health care or hospital environment:<br> (a) medical examination; and<br> (b) chest X-ray; and<br> (c) serum creatinine/eGFR.
5
For a person who is pregnant and intending to give birth in Australia:<br> (a) hepatitis B test.
6
For a person who is at least 75 years old, and applying for a Subclass 600 (Visitor) visa:<br> (a) medical examination; and<br> (b) serum creatinine/eGFR.
Schedule 4—List of provisional visas
Column 1
Column 2
Item
Type of visa
1
Subclass 160 (Business Owner (Provisional))
2
Subclass 161 (Senior Executive (Provisional))
3
Subclass 162 (Investor (Provisional))
4
Subclass 163 (State/Territory Sponsored Business Owner (Provisional))